Adrenal Cortex

Question 1

Cushing’s syndrome causes

Answer 1

Hyperglycemia 
Protein wasting
Loss of collagen
Wound healing delayed
Mood disturbances
Insomnia
Irrationality
Psychosis

Question 2

Cushing’s syndrome Treatment and goals

Answer 2

Primary goal is to normalize hormone secretion.
Treatment depends on cause.
Drug therapy indicated when surgery is contraindicated or as adjunct to surgery
Goal of drug therapy is inhibition of adrenal function

Question 3

Addison’s Disease symptoms

Answer 3

• bronze hyperpigmentation of the skin.
• Abd pain, abnormal menstrual periods, depression, diarrhea
• Low blood glucose
• Low blood pressure
• Nausea

Question 4

Addison’s Disease Goals

Answer 4

Protect the patient from noise, bright light, and environmental temperature extremes.
The patient cannot cope with stress because corticosteroids cannot be produced.
The patient should be instructed in the importance of keeping scheduled follow-up appointments.